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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting / 7X. <br /> Owner's Riame. /y,i %A/ -i Owner Phone Number �` � <br /> t, V Far—i <br /> Owner`s Address 3 :'�.,9Ig9�l�J�SPh�jjiJ!'S I~/3��" Owner Phone Number <br /> Fee Simple Titleholder.Name �.. Owner Phone Number �— <br /> Fee Simple Titleholder Address p <br /> l08 ADDRESS'' �:ftp� A9 :t iC3 .i33✓5+�.� '}a_ GGS LOT# 0 ' <br /> SUBDIVISION S PARCEL ID# lJ - - %2rt�o•o�r�i3O==d! gp =:== =� <br /> (OBTAINED"FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT, C-� SIGN 0 Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR 0 COMM „, � _ OTHER'. <br /> TYPE OF CONSTRUCTION ' 0 BLOCK' 0 FRAME STEEL 0. <br /> DESCRIPTION OF WORK. ,. G -j' �� f'�iL:Ii2 2 !_ �-�_''v!- A ? •: ...... <br /> BUILDING SIZE SO FOOTAGE C� HEIGHT <br /> ®BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q "'' PROGRESS ENERGY Q W.R.E.C. <br /> [PLUMBING, $ Z <br /> IS <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION: " <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS, FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y! N FEE CURREh Y/N <br /> �ar�� Azrbvd� a� <br /> Address License <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N 'FEE CURRE+ Y J N <br /> Address License# F I <br /> PLUMBER COMPANY ' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y l N <br /> Address License# <br /> 77 <br /> MECHANICAL x COMPANY" <br /> SIGNATURE ." REGISTERED,, Y/ N I FEE CURREh <br /> Address License# ! <br /> OTHER., COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREit <br /> Address License# <br /> l•-1 1 1 ! 1 CPI"! 1 1•I i I i 1 1 l i i ! 1 t ! l i i l ! 1 1 ! 1'! 1 i 1 1 1 1 !' 1':1'.. <br /> RESIDENTIAL— Attach(2)�Plot Plans;-(2),sets of Building-Plans;(1).set-of.Energy Forms;.R-O-W Permit'for-new_r_,onstriiction, <br /> Minimum ten'(10)working days after submittal date.-Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,. <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects _ <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.-Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpste'r.Site Work Permit for'all new"ptofects.All commercial requirements must meet,compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ' PROPERTY SURVEY required for all NEW construction. <br /> ■"■ r ■ ■ ■.■-■ . . ■ ■ . ■ ■ <br /> Directions; <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ' <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING . (copy of contract required) <br /> Reroofs if shingles Sewers Service:Upgrades A/C Fences(Plat/Survey/Footage)- <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />